COUNCIL OF ATHABASCAN TRIBAL GOVERNMENTS
NPI: 1851534812
· FORT YUKON, AK 99740
· Dentist
· NPI assigned 04/07/2009
$443K
Total Medicaid Paid
Provider Details
| Authorized Official | PETER, MELINDA (HEALTH DIRECTOR) |
| NPI Enumeration Date | 04/07/2009 |
Related Entities
Other providers sharing the same authorized official: PETER, MELINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
110 |
$32K |
| 2019 |
26 |
$8K |
| 2020 |
40 |
$12K |
| 2021 |
267 |
$77K |
| 2022 |
540 |
$197K |
| 2023 |
321 |
$70K |
| 2024 |
199 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
415 |
396 |
$223K |
| D1206 |
Topical application of fluoride varnish |
530 |
505 |
$114K |
| D0140 |
Limited oral evaluation - problem focused |
132 |
108 |
$73K |
| D0220 |
Intraoral - periapical first radiographic image |
53 |
51 |
$28K |
| D1120 |
Prophylaxis - child |
78 |
76 |
$4K |
| D1110 |
Prophylaxis - adult |
13 |
12 |
$945.00 |
| D1330 |
|
265 |
251 |
$0.00 |
| D1310 |
|
17 |
17 |
$0.00 |